HomeMy WebLinkAbout0090 FOX DEN BLUFF ROAD - Health 90 Fox Den Bluff ROM Cotuit
�- A= 041-035
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TOWN OF BARNSTABLE
LOCATION eo-t It? OtA Q1v-JCF SEWAGE # 77--�33
VILLAGE � "`�'}' ASSESSOR'S MAP & LOT 0.6
INSTALLER'S NAME&PHONE NO. A o-yta
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) S F D` (size) a X
NO.OF BEDROOMS
BUILDER OR OWNER �TClsOe
PERMITDATE: i 41 - !I COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
12.7'
- oco
3z
5�
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{
No. " � � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MA SACHUSETTS
2pplication for ioogar *rain ion%truction Vermit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components
Location Address or Lot No. yp" - Owner's Name,Address and Tel.No. 41 ZO—O Q'7 D
jT�am�s vtt TWo,rnV`�
Assessor's Map/Parcel 7N/9,V1e'c✓6 LA)
�� 3S r"/2
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
1I q It -5 9s . �ss��ttA`rC=�
5 U w' iy V 7.; to
Type of Building:
Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow AA,ib gallons per day. Calculated daily flow SS(%ri gallons.
Plan Date 5 K. `cam- lj.�b Number of sheets Z Revision Date
Title J=ays, K 01",
Size of Septic Tank i� Type of S.A.S. ``t®y.1�,
Description of Soil C i'
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued s Bo d of Health.
J
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
TOWN OF BARNSTABLE
LOCATIONO � 9e) JNA 12(2-FF SEWAGE #
VII.LAGE�G��'w: + ASSESSOR'S MAP& LOT_r I d
INSTALLER'S NAME&PHONE NO. O
SEPTIC TANK CAPACITY /Se d 6
LEACHING.FACILITY: (type)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: 1 -1 4I �COMPLIANCE DATE:_
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Watei Supply Well and Leaching Facility (If any wells exist
on site or:within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 306 feet of leaching facility) Feet
Furnished.by. .
.TV
�p '1FIS .L <
r'r• �sA
W __ 1.
�K No. "' Fee 200"__-Ua
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
>. PUBLIC HEALTH DIVISION - TOWN Of BARNSTABLES MA SACHUSETTS
=� 2pprication for igogar *potem Con!5truction 3permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. yp' k FF > , Owner's Name,Address and Tel.No. (� D
1 �74 cam Ns ru.Tworn t;`(
Assessor'sMap/Parcel �• rJ� -M19:%vKr✓L GN
Installer's/Name,Address,and Tel.No. Designer's Name,Address.and Tel.No. S��(a'
_Ybh� R 17 s,a /tb c1�$ Js
4 /S v tda �, � �s7t /J,/`// �• � oZs� e
Type of Building: i
Dwelling No.of Bedrooms Lot Size isq. ft. ` Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow AAA gallons per day. Calculated daily flow S-S(V gallons.
Plan .Date sr g7r_- %t) , Number of sheets Z Revision Date
Title S%yl�Tdatu
Size of Septic Tank j T- Type of-S.A.S. 't!�j,r-.
Description of Soil .. S Y
Nature of Repairs or Alterations(Answer when applicable)
t
Date last inspected:
Agreement: {
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system r
in Accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued 's B�dof He th. '
Signed 1 ate
Apphcation,Appi•ove Date"by .- : ' f r`Ik � .
'`�
Application-Disapproved for the following reasons
Permit No. '` � Date Issued �?
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(v)Repaired( )Upgraded( )
:r Abandoned )by
at 1- C 7 f1 I ` has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Uo N u A• A L 7b Designer ST PNEN .T Qo j l t-v' ? &S0ci14'r�S
The issuance of this permit shall not be construed as a guarantee that the system will function as-de'signed.
Date (n ,�A `1 Inspector
r
'No. L, ti`�1 —_—_----_--_—.--�-----------------FeeZ& 15475
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Dioozar 6raem Con!5truction Permit
Permission is hereby granted to Construct( // Repair( )Upgrade( )Abandon( )
System located at 90 Fox D&tj CRLuFF R0 jar j/!Z'
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her,duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: Approved by
/y
� 60
Fee---�`r------- -- -
7 BOARD OF HEALTH
TOWN OF BARNSTABLE
0q 1 /03s
AppCuat ion_1brVe[[ Cootrurt ion Permit
Application is hereby made for a permit to Construct ( , Alter�®r
epair ( )an individual Well at:
o ,oX D e-_1 i3 I F />' n•«t STo M r��r �__ � � ----------- -- --------------------------------------
Location Address Assessors Map and Parcels /
/�P�V �j -�A� /, ✓l'tGrSrowS M�IIS
—` — —Owner — ---- --— —�— ---------- ----------- — —=—Address — � ---
f-r✓�/( ��t_ �� - - -�`'�'�` = use -� n.�li o a6f�f
———---- - ----------------- -
Installer — Driller Address
Type of Building
Dwelling------------------------------------------------------------------
Other - Type of Building -------------------- No. of Persons----------------------------------—----------------
Typeof Well-Y I p'),(—----------------------------------------- Capacity -----------------------------------
Purpose of Well---- ----------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate .of Comp)fiance has been issued by the Board of Health.
�.l.�t k,a �z - y�
Signed ------�------------------------------------- ---------�------�-�--------
date
Application Approved By --------------------------- ---- ---
- ---------------
date
Application Disapproved for the following reasons:-------------------------------------------------------------------------_---___-_-
- --------------------------------------------------
\ date
PermitNo. � -------------- Issued-------------------------------------—-------------—----------------------
date
a ;i>& ,
t
No.� -- �= L� Fee--
e -
.� `��' BOARD OF HEALTH TO[apermit
N OF - BARN/tTABLE
ip ion-*rVell Cort5trurtio�t rriApplication is hereby made for to Construct ( �, Alter ( ), or epair )an'individual Well'at:
° f-_k Dew /�Iu,FFrU��sTow f�/l^ t3 r— -- — — — — — —— '— — — ---- PLocation — Ad Assessors Ma and'Parcel
------- -- - -
Owner Address
_cv� // �/( Q1t - -
— Installer — Driller Address
Type of Building
Dwellin ------—
ii �
if Other - Type of Building - -- -------------- No. of Persons -- - --------------
Type of Well- (- -----
Purpose of Well----- 1_i i�__C 'la,
Agreement: i
The undersigned agrees.to install the afore' described individual.well in accordance with the provisions ohe f
Town of Barnstable Board of Health Private Well Protection..Regulation —The undersigned further.;agrees 00tto
place the well in operation uritil,a Certificate .of-Comp iance'has been issued by the,Boa d'of Health:
q Signed
•date �.
Application Approved�y - --
_ ----'� date
Application.Disapproved-for the following reasons,-- ------------------- --------- ---------------- --------------------------------
__ -
.. date:..
r
Permit No. --=-1N—; =_ i` ---- __-- "issued -
. s
------ ----------
° date
..w{a'.sc. ...-,�+.-.nw.aYaF�z:.s.x„�.fv.s: :.L::..+: -..x� ...++ffi'eu�• a.....w'...L� +;_ ''rvi#:� '+ V � �..i.�
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._�bx D � � � c� F� R� ,
I__�.___---- _ _ --_______ .
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( "'), Altered ( ), or Repaired ( )
by -------------------------------------------------- - - ------- --
Ic taller /
a t !� r l s- �_- /�n�L_Q •v /lJ l .l/=f --1�s lr��SZo ca S S------- -` ---------
-------------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No.� MJ-1 --Dated----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE- --- -----_-- - - ------ -- Inspector----------------------------------------------— - ------------
BOARD OF HEALTH
TO�=WN O.F BARNSTABLE
Certifttate Of C6MPItance
THIS IS TO CERTIFY, That the Individual Well Constructed O, Altered_( ), or:Repaired'(
I" taller
e /O PN (.4f /T�
F . at- --- - yT
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private:Well Protection,
Regulation as described in the application for Well Construction Permit No.W17--J-L�--Dated------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------- ------- — - -------_ Inspector---------------------------------------------------------------=--------
-
BOARD OF HEALTH
TOWN OP' BARNSTA.BLE
1z,
Ivell Con5truct Lori]permit
y Fee No.
". Permission is hereby granted-- — ---- --- -----------------------------------'
to Construct ( �, Alter ( ), or Repair ( ),an*Individual Well,at:.
--------- - -- -- --- ----- -- .-- --
4
Street
as shown on the application for.a Well Construction Permit
No. ;°
---- --- -- - - Dated--—----------------------------------------------------------------------------
r.
R�
Board of Health
DATE---__— ----— --q=- --
,
ry
' 0Ury
ENVIROTECH LABORATORIES, INC. 3
_ MA Cert. No.: M-MA 063
449 Rte.130
---- Sandwich, MA 02563 ---
(508) 888-6460 1800-339-6460
FAX(508) 888-6446
CLIENT: Tom Twomey LOCATION: 90 Fox Dew Bluff Rd.
ADDRESS: 72 Thankfull Ln. Marstons Mills MA
Cotuit MA 02635-2661
COLLECTED BY: D. Pennini/DA Scannell SAMPLE DATE: 9-3-97
SAMPLE TIME: 12:00
WATER SAMPLE TYPE: New Well/ Irrigation DATE RECEIVED: 9-4-97
LAB I.D.#: 979-089
WELL SPECS.: 43'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method
Limits
Coliform bacteria /100ml 0 0 9222 B
p P
H H units 6.5-8.5 5.59 4500 H+
Conductance umhos/cm 500 100 120.1
Sodium mg/L 28.0 8.8 200.7
Nitrate-N/Nitrite-N mg/L 10.0 < 0.04 4500-NO3 E
Iron mdii- 0.3 < 0.02 200.7
Manganese mg/L 0.05 0.012 200.7
COMMENTS: Low pH indicates high corrosive characteristics.
YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED.
Date
Ronald J. aari
LaboratoryVIDIrector
<=less than
>=greater than -
TNTC=too numerous to count
,
• -
' ,gib T •�3 i� r7��{ �' '�a`:'-�..... �� �` � 4•.-� •��n ..
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a�_ .Z `!� -J � .', ." a ..�, oo{.��1 �f 'y�. '!• • , „\
� ,`_�t1 � 1 i..�` :��^�?;,,_�� c..' Opp / 5„'�/ ,..1. ; {_ , .• �;r : _
ills
,1 \1 c, tr\t I t-i
�/M I Lovet d \o {+4` ) u y,d,• S \' s8 i 255.95
Pon
h71
IC
• b-m ( ( 9 f
.. •"� �°�a ` 1°� J ti', , icy \�' ; . / 61,181 sq.ft.
�. ':\Sc7 ` ` ; `-,' .� - �,�� ', � •_ 1 w / 1.4 acres
W
i- ll•� Tpk*'� �o eaa ..��\ ,' J' �.,,.�+ �Y�G Oo�,.� ` )e�0, ��.,
(�\,�Q .\ r \ o 0 � � t pi
)o ; t, err
USGS LOCUS SCALE 1 : 25.000
sit• �
Al' , >7. s /
A-}
ISOLATED ) La / t A. 10.
AO /
WETLAND � O��'
6). ,'cL OSF i p Z
PROPOSED
`SO N 10' x 18, / �o
DECK
BM: RIM = EL. 45.0 /
1
DATUM: NGVD `.4�5`.Z�o
�O 6 - i �p'� 7?.
GRAPHIC SCALE
Ar
40 0 20 40 80 150
� 7
IN FEET )
1 inch 40 ft.
ZONING DISTRICT: RF ��` ��44,8Z / `N Of 414 ZN OFF, 4
Ss*� ���
OVERLAY DISTRICT: GP & WP �; �� ° �qg' a'� AM MPH
� EN �
"ASSESSORS MAP: 41-35 �\ O,90 � HYD. o Il1E8ER�RA!! � � J. w
k 110. 23971Q y DOYLE
FEMA DATA: LOCUS DOES NOT LIE IN �� q1•U �9FG�SS�P41wQ N0.37559
A FLOOD HAZARD ZONE.
MUNICIPAL WATER IS AVAILABLE
STREET ADDRESS: #90 FOX DEN BLUFF.ROAD
REFERENCE PLAN: LC.#39660-B SHEET 1 OF 2
I
SITE PLAN OF LAND
IN
COTUIT - BARNSTABLE, MASS.
DEPICTING THE PROPOSED
TWOM EY R ES; 1 C) EN COD E
SCALE: 1" = 40' DATE: C1=-r io.. 1996 _
STEPHEN J. DOYLE AND ASSOCIATES
42 CANTERBURY LANE EAST FALMOUTH, MA 02536
TELEPHONE: 508/540-2534
GENERAL CONSTRUCTION NOTES
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5
AND THE ;TOWN ,OF 'LZNI RULES AND REGULATIONS FOR
- PROFILE OF
SEWAGE DISPOSAL SYSTEM THE SUBSURFACE DISPOSAL OF SEWAGE.
2. AT LEAST ONE ACCESS 'PORT OVER TANK TEES SHALL BE ACCESSIBLE
NOT TO SCALE WHITHIN SIX INCHES OF FINISH GRADE WITH ANY REMAINING ACCESS
PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE.
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H--10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10'
TOP FOUND. EL - , ` OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN
10' OF DRIVES OR PARKING UNLESS NOTED.
4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL
SITE UTILITIES PRIOR TO ANY EXCAVATION.
5. SEWER PIPES SHALL BE 4" SCHEDULE 40 PVC LAID AT 0.02 SLOPE.
6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE
MORTARED IN PLACE.
INV. EL.
FLOW LINE _�..... WAS nd+T COVER
=` ---- - 7. FINISH GRADE .SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT.
10' MIN,
INV. EL. 40.'`1 �`2' LEVEL'—�
10' MIN. 4' UO(M DEPTH
MIN. 6'
INV. El. '1l°'t.o sump
..._.... .....................k.'.ems-. su. Lxa...�.:.,
------------- _. _-� , �. _ INV. EL .�Q f I
INV. EL. ---
2"MIN. — 1/8 TO 1/2" WASHED STONE
1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK 4' x 8' PRECAST FLOW DIFFUSOR
4a.o
MINIMUM CONSTRUCTION MATERIALS PER 310CMR 15.226(2) PRECAST REINFORCED CONCRETE-
DISTRIBUTION BOX a
TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND
SHALL EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE INSTALL ON A LEVEL BASE L
OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE
SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN—OUT MINIMUM WALL THICKNESS = 2" 4 3/4" 1 1/2" WASHED STONE (2' MAX. DEPTH)MANHOLE
,
MINIMUM INSIDE DIMENSION = 12" W4,=��3 ,t ,� 4L,0
THE INLET PIPE ELEVATION SHALL BE NO LESS 'THAN 2" NOR INV. EL. AS.o ,
MORE THAN 3" ABOVE THE INVERT ELEVATION OF THE OUTLET INVERTS SHALL BE EQUAL TO EACH I z
OUTLET PIPE. OTHER AND AT 2" MINIMUM BELOW INLET INVERT.
SEPTIC TANK THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL BE INSTALLED LEVEL AND TRUE TO 'GRADE SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING S.A.S. _ _LONG x 1Z EFF. DEPTH WIDE x Z S
ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY THE DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION i���r Mtu.x�.
COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. SEE PLAN VIEW FOR DIFFUSOR LAYOUT
HAS BEEN PLACED TO ENSURE STABILITY AND TO PREVENT {
SETTLING. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE
AND NON—DEFORMABLE MATERIAL PERMANENTLY FASTEND TO THE
SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9". LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF
EQUAL ELEVATION. _ Y
THREE 20 MANHOLES WITH READILY REMOVABLE IMPERMEABLE 4t.o
COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS
PORTS BEING PLACED AT THE CENTER AND OVER THE INLET AND D �
OUTLET TEES.
THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE.
SOIL OBSERVATION DATA:
DESIGN DATA:
GlSTER O
°L�'�.�4 �AT�C.. ,"�"�aL."r. G=x?�aTt�'al�.�
1 � tl~�c 1r t� TL1aU -tit' STRUCTURE g�' ST'EPHEN
TEST DATE -I- \ — g`i TYPE NO. BEDROOMS GARBAGE DISPOSAL ..� J.
.,
Y'l1I re $ DOYLE
SOIL EVALUATOR f ,�G�a tW� �t�: DESIGN FLOW Cet)t L,+ = CA ALLos "L t
NO.37559
B.O.H. AGENTeata��e�. t j0'fbfESS10��
11Zt-tz+.�4-k44 x7-ftizx4A=- '1SZ{o:`S4� S,r'(�, c!�'p
lgNn s TO
EXCAVATOR ,
PERC ATE
� SEPTIC TANK q-gt� � - \;Co
SHEET 2 OF 2
LEACHING FACILITY L1S { E"Z i�CFit��` 't>6F r'Z1 Utz S. y1t'�11
BEE .
_ Z4
SCALE: AS SHOWN DATE: tYC 'rtt2 totlgglea
' C�u.n►+wG.-
STEPHEN J. DOYLE AND ASSOCIATES
_. 42 CANTERBURY LANE, FALMOUTH MA. 02536
TELEPHONE: 508/540-2534